I ve had issues with spotting for the better part of a year now. I ve tried a few different types of birth control pills, recently switched to an IUD, but nothing seems to work. I ve had a pelvic exam and a pelvic ultrasound and everything was normal. Is there anything else I can do?
Fri, 3 Mar 2017
General & Family Physician, Dr. Vasudha's Response
Hi, Thanks for asking. I have read & understood the concern. I think spotting you have is not from uterus. It can be extra uterine bleeding due to..cervical erosion or inflammation/ cervical polyp/ pelvic infection. Some times urethral infection/ stones/ bladder infection can lead to such bleeding which is missed for vaginal bleeding. Similarly rectal fissure / external or internal piles bleeding can be missed for vaginal bleeding. Proper internal examination by a gynecologist/ investigations would help in pin pointing the cause & specific treatment would solve your problem.
Hi, I think you should do a thyroid profile and prolactin levels. Thyroid disorders can also lead to irregular spotting. You can try some progesterone containing pills starting from day 1 of your cycle. If you have already tried that, you can go for TCRE or TBA. Discuss with your doctor regarding this. Hope I have answered your question. Regards Dr khushboo
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Suggest Treatment For Persistent Spotting
Hi, Thanks for asking. I have read & understood the concern. I think spotting you have is not from uterus. It can be extra uterine bleeding due to..cervical erosion or inflammation/ cervical polyp/ pelvic infection. Some times urethral infection/ stones/ bladder infection can lead to such bleeding which is missed for vaginal bleeding. Similarly rectal fissure / external or internal piles bleeding can be missed for vaginal bleeding. Proper internal examination by a gynecologist/ investigations would help in pin pointing the cause & specific treatment would solve your problem.